United States Quick Cash Enrollment Form
Download a blank fillable United States Quick Cash Enrollment Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete United States Quick Cash Enrollment Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
Groupe Lacasse
Handbook 1.0
U.S.
CDN
QC
New Dealer Setup Form
PROMOTION – United States Quick Cash Enrollment Form
RULES & REGULATIONS
:
•
Enrollment must be submitted to U.S. Sales Administrator via email at
.
•
Dealership principal and/or sales manager must authorize salesperson’s participation in Groupe Lacasse’s spiff program.
Information required on the enrollment form will be used to validate participant’s information at time of submitting spiff.
All claims must be submitted at . Information required on spiff submittal is as follows:
Salesperson’s name, address and purchase order/order acknowledgment number to be in body of email submitted to
.
•
Awards are based on standard dealer’s discount.
•
Awards are based on shipments and invoicing.
•
Minimum redemption check will be
$50.00. Lesser balances will be held for the $50.00 minimum requirement for a
maximum of three months from the invoicing of the claimed order.
•
Claims must be registered within 90 days from date of order entry. Claims are not valid if beyond that date. Claims will
only be accepted online at .
•
W9
Participants must have a current
form on file with Groupe Lacasse in order to be compensated. Claims will not be
W9
processed if
form is not on file. Any changes must be communicated in writing and accompanied by a new W9 form.
Participants are responsible for ensuring that all contact information is current.
•
Federal, State and local taxes are the sole responsibility of the participant.
•
Program applies to U.S. sales (including Puerto Rico).
•
GSA contract business and State contracts are eligible.
•
Groupe Lacasse reserves the right to amend and/or cancel this program at any time.
I/We hereby apply for the Quick Cash Program:
The following information is submitted in strict confidentiality
Dealership Identification
COMPANY PROFILE
Dealership Name
Account #
Address
Email
Address
P.O. Box (if any)
City
Phone #
State
Zip Code
Fax #
Company Representative Authorizing Participation in Program
Personal Identification
PERSONAL IDENTIFICATION
Name
Title
Address
Email
City
Phone #
State
Zip Code
Mobile #
Beneficiary: _____________________________ _____________________________ ____________
Print Name
Signature
Date
DEALERSHIP AUTHORIZATION (
This application must be signed by an officer or principal)
Principal:
_____________________________ _____________________________ ____________
Print Name
Signature
Date
ENROLLMENT DATE
Approved by: _____________________________ _____________________________ ____________
Print Name
Signature
Date
New Dealer Setup Form
1.2.9
8888-8-88 CRE / Date: 30-08-2012 / Revision: 001
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial